Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.41 / $3,645.00 / $8,294.00	Facility		$761.41	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $616.37 / $1,070.04	Professional		$469.06	$616.37	$1,070.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.15 / $691.22 / $976.83	Professional		$538.15	$691.22	$976.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $807.23 / $1,036.83 / $1,465.25	Professional	50	$807.23	$1,036.83	$1,465.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $640.66 / $1,251.96 / $4,284.00	Professional		$640.66	$1,251.96	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $667.35 / $667.35 / $667.35	Facility		$667.35	$667.35	$667.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.90 / $713.40 / $1,131.85	Professional		$530.90	$713.40	$1,131.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $656.47 / $844.50	Professional		$558.00	$656.47	$844.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $521.84 / $727.01 / $1,065.97	Facility		$521.84	$727.01	$1,065.97
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $696.00 / $1,081.56 / $2,527.07	Facility	50	$696.00	$1,081.56	$2,527.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $730.00 / $835.00 / $1,126.32	Professional		$730.00	$835.00	$1,126.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.23 / $749.24 / $7,420.00	Facility		$502.23	$749.24	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.23 / $749.24 / $7,420.00	Professional		$502.23	$749.24	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.90 / $570.61 / $1,049.59	Professional		$418.90	$570.61	$1,049.59